Individual
MR. KEVIN WAYNE HUFFAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-3580
Mailing address
6311 HAMPTON PL, ELKRIDGE, MD 21075-6184
(410) 379-2977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SA0031
DC
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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